HomeMy WebLinkAbout08-8301 CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020 8301
ELECTRICAL PERMIT
Permit Number: 8301 Address: 5445 6TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Contractor: INTERLOCK ELECTRIC INC Book: Page:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-09100-0060
Improv. Cost: 2,100.00
Date Issued: 9/15/2008 Name: CHANDLER, WILLIAM & SUSAN
Total Fees: 67.50 Address: PO BOX 1629
Amount Paid: 67.50 ZEPHYRHILLS, FL. 33539
Date Paid: 9/15/2008 Phone: (813)782-7778
Work Desc: ELECTRICAL UPGRADE
ELECTRICAL FEE 67.50
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection trips are
necessary due to any one of the following reasons: a)wrong address b)condemned work resulting from faulty construction
c)repairs or corrections not made when inspection called d)work not ready for inspection when called e) permit not posted
on job site f)plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same.
"Warning to owner: Your failure to record a notice of commencement may result in your payin
twice for improvements to your property. If you intend to obtain financing, consult with
your lender or an attorney before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be
performed in accordance with City Codes and Ordinances.
CONTRACTOR PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
j �X330
Date Received Phone Contact for Permitting O l3J 3 -3 7 "t
tes Nar?ib `JI CL(CL(f Owner Phone Number I ,31 & T17(]
Owner's Address Is4 (y1 c . Q =tr ZJ Owner Phone Number
Fee Simple Titleholder Name 1 Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS S LOT# ��
SUBDIVISION I PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR f ] ADD/ALT Q SIGN MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR ® COMM 0 OTHER If.K1'1-
TYPE OF CONSTRUCTION Q BLOCK FRAME E STEEL OTHER
DESCRIPTION OF WORK '2f dup(,E'x 1! C L Y\ UR r S Cu'\C
nseQt
BUILDING SIZE SQ FOOTAGE HEIGHT
uuiiuuI,IuIuIl,,,IIII 111•11 11111 11111 III 11111 ulllluuuulllullll I III,IIlIIIIh,I,IIIIIIIIlIIIIlI iiiillullllll,II!IlIIIIIIIIII I,,IIIIII,IIIIhI 1111111
Q BUILDING Is
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ 21 w. AMP SERVICE Q PROGRESS ENERGY ��Q W.R.E.C.
PLUMBING $
LI MECHANICAL Is
VALUATION OF MECHANICAL INSTALLATION
Elil GAS 0 ROOFING LII SPECIALTY [ ] OTHER
FINISHED FLOOR ELEVATIONS f
FLOOD ZONE AREA DYES =NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address -�,"� License#
ELECTRICIAN COMPANY —'^ ' fr �'� � �� '
SIGNATURE 4_ REGISTERED N I FEE CURRENT Y N I
Address I P.0, O'— ?2C7 C�U'r� f - _3 zI License# FGl 3da 1It0O
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURRENT Y/N
Address I I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I License#
111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities& I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
ill
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000)
"* Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the owner prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
the job is considered abandoned.
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS
R AN ATTORNEY BEFORE RECORDING YOURINTEND TO OBTAIN NOT CEO COMMENCEMENT.' CONSULT
WITH YOUR LENDER
FLORIDA JURAT(F S. 117.03)
OWNER OR AGENT CONTRALTO
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn,�pQ(or affirmed)before €,
b by JAt/ <5
y Who is/are personally known to me or has/have produced
Who is/are personally known to me or has/have produced as identification.
as identification.
B0GES Notary Public
Notary Public CQ33DD
: :''.P. *: Commission ber 12,
2010
Commission No. Commission No.
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ed, rinted or stamped Name of Notary typed,printed or stamped
Name of Notary typ p
Pasco County Parcel: 11-26-21-0010-09100-0060 001 Page 1 of 1
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Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: Weekly Archive - Saturday, September 06, 2008
Parcel ID 11-26-21-0010-09100-0060 (Card: 001 of 001)
Classification 19 - Professional Service Building
Mailing Address Property Value
CHANDLER WILLIAM C &SUSAN J Ag Land $0
PO BOX 1629 Land $47,320
ZEPHYRHILLS, FL 335391629 Building $62,111
Physical Address
Extra Features $308
5445 6TH ST
ZEPHYRHILLS, FL 33542-3907 Market Value $109,739
Legal Description (First 4 Lines) Assessed (Save Our Homes) $0
ZH MB 1 PG 54 LOTS 6 7, Taxable Value $109,739
8 BLK 91
OR 1123 PG 1433
Land Detail (Card: 001 of 001)
Line Use IlDescriptionil Zoning I Units Type Price Condition I Value*
1 1900 PROF.BLDG 00OP I 7,000.00 I $5.26 II 1.00 II $36,820
2 1900 PROF.BLDG 00OP I 3,500.00 SF $3.00 1.00 $10,500
Additional Land Information
Acres 0.24 Tax Area 30ZH FEMA Code H X Ilcommerical Codell M6ST7AA
Building Information - Use 19 - Offices Professional or Medical (Card: 001 of 001)
Year Built 1961 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Terrazzo Monolithic Flooring 2 None
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 3.0
Line Description Sq. Feet Repl. Cost New
1 AOF 1 1,152 $128,310
2 II CAN II 72 I $2,450
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 DWSWC 1973 II 222 �� $83
2 PAV CON 1981 if 400 $225
Sales History
Previous Owner N/A
Year Month Book/Page Type I Amount
1981 04 1123 / 1433 $37,500
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Other Agency Data: Tax Collector School Board Supervisor of Elections
http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&b... 9/11/2008
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
C tract omeowner:
Date Received: ✓
Site:
Permit Type: e-
._eLd
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
Kal Switzer—Pl xaminer Date Contractor,and/or Homeowner
(Required when comments are present)
August 27, 2008
Susan J. Chandler
5820 Twentieth Street
Zephyrhills, FL 33542
Building Department
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
Re: 5445 Sixth Street
Zephyrhills, FL 33542
To Whom It May Concern:
As the owner of the property at 5445 Sixth Street, I authorize JSA Healthcare Corporation to make
upgrades to the property to meet fire and building codes. Please issue the necessary building permits to
JSA.
If you have any questions, please contact me at(813)782-0423 or my attorney,Stephen Carle,at
(813)782-7196.
Sincerely,
Susan J. Chandler
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Date Received Phone Contact for Permitting O .�
g ner s NarlT� J S� r Owner Phone Number C.r
� C� irDUP Owner PhoneNumberF
Owner's Address
Fee Simple Titleholder Name Owner Phone Number I
Fee Simple Titleholder Address
JOB ADDRESS +h J LOT# II
SUBDIVISION I PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR ADD/ALT = SIGN = MOVE = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR ® COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL OTHER
DESCRIPTION OF WORK
BUILDING SIZE I SQ FOOTAGE I HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
IXil ELECTRICAL $ �I AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
,MP1�-
= PLUMBING $ ���(
EI MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
LII GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER I COMPANY
SIGNATURE I REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED N FEE CURRENT Y N
Address P.O. I 'o .0 C,n2 FL 3 3r!ng Z I License# OD `&O I
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I License#
MECHANICAL I COMPANY
SIGNATURE I REGISTERED Y/ N I FEE CURRENT I Y/N
Address I License#
OTHER I COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
GIzTY OF F L \
OCCUPANCY NO.: Ti s . a
INS
Admi flis atjext:s f8 1.
' E 1 SPE ON
Business Name: t"f CCxv
- siffier: �' ) t.:.. _ ` -� •{ z�
Building Name: Telephoxirt:
StreetAddress: Iqç ( �^T
Suite: ButldmgClwr►er.' ._
Telephc -
City: Zip Ernergeni3ysCentact#1: C "
Manager: Telephone- < "� ; :. .^
Telephone: • ' > 77
Emergenlyl Cpntaet#2:
Occupant Type: )c,k.x''
Teleplaor
ThPE tl " iC' CED
Annual: Rein
i pection: Coimnercfal' Cotie Violation: Qtiy:
Fire Protection: Sprinkler: Gas:;'
_____ Suppression: Other:
Approved: Condi ional'iy Approved jfr Not Approved:'
** ** **w,war+ a******
Comment
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This building had been assessed by there:D
State-°Fire Marshal Uniforin;F:ire Sam epmt Utg tlldeaand.Stantiattils of,NFPA Minimum Standards,the
:
' 1$Ee safety odes
ode violations:specified rin- tsport, - d n fcatrse or cctintt
mrnediate attention to'the correction.ofth�eserviciIatiansashatl be re " ° the spread of fire "or,prevent safe.egress during fire.Your
°revention Code. gmreH,- oornply:is violation of the City of Zephyrhills Fire
.nspection Date:. ' \
ite-kVection Date:
:nspector Name: (Print) t r 1 '�
ector Signature: Inspector lD.#:
ns
p -�----
)ccupancy Representativ
signature: r �; 1. L 4:Gc.; '"_'
Title:
�omputer Entry: Pre-Fire Plan:onFle:
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